NPI age
14 years
Enumerated 2012-04-24
● Active
Type 1 · Individual
DR. Clark A Johnson, D.P.M.
Johnson is 1 of 8 podiatrist providers in Meridian and 1 of 67 in Idaho.
Primary specialty
Podiatrist
Plus 1 subspecialty
Licensed in
ID, CO
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-02-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 67 active podiatrist providers in Idaho.
NPI age
14 years
≈ at median (14 yr)
State licenses
2 states
Top 80% — 19% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Practice location
3120 W Belltower Dr Ste 100
Meridian, ID 836467744
Mailing address
3120 W Belltower Dr Ste 100
Meridian, ID 836467744
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
3676 Parker Blvd
Pueblo, CO 810082212
Location 3
203 12th Ave Rd
Nampa, ID 83686
Specialties
-
Podiatrist PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.